CN105147234A - Laryngeal surgical instrument - Google Patents
Laryngeal surgical instrument Download PDFInfo
- Publication number
- CN105147234A CN105147234A CN201510729384.5A CN201510729384A CN105147234A CN 105147234 A CN105147234 A CN 105147234A CN 201510729384 A CN201510729384 A CN 201510729384A CN 105147234 A CN105147234 A CN 105147234A
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- China
- Prior art keywords
- laryngoscope
- larynx
- rechargeable battery
- sleeve pipe
- display screen
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Abstract
The invention discloses a laryngeal surgical instrument which comprises a laryngoscope handle and a throat cannula. The laryngeal surgical instrument is characterized in that the throat cannula is round or oval, a scissors forceps insertion channel and a detection head are arranged in the throat cannula, and a flexible opening is formed in the side wall of the scissors forceps insertion channel in the axial direction to facilitate diameter reduction of a laryngoscope. The laryngoscope can be conveniently and rapidly inserted into the trachea of a patient, contusion of the tracheal wall in the laryngoscope inserting process is reduced, and meanwhile a visual operative field is further remarkably widened. After the laryngoscope is inserted into a designated position, a pair of arc-shaped scissors forceps is movably inserted into the scissors forceps insertion channel for lesion tissue shear. Due to the fact that structure is adopted, the laryngeal surgical instrument has the advantages of being novel in structure, convenient to operate, short inn operation time, few in postoperative complications, small in patient's suffering, high in surgical operation accuracy and the like.
Description
Technical field
The present invention relates to technical field of medical instruments, specifically a kind of operation on larynx apparatus.
Background technology
At present, the treatment skill of clinical treatment polyp of vocal cord generally adopts Laryngoscope surgery, and existing Laryngoscope surgery mainly contains following several:
Indirect laryngoscopic surgery, during operation, the hand-held laryngeal mirror of operator one, another hand-held laryngeal forceps carries out operation technique, and its principle is only utilize light direct reflection, is emerging in by glottis in minute surface, perform the operation for operator, its shortcoming is laryngoscope and laryngeal forceps when being inserted into throat respectively successively, easily causes the secondary injury to patient's trachea wall, and easily with even pathological tissues.
Supporting laryngoscope hands art, this is the hands art of carrying out polyp of vocal cord excision under a kind of surgical microscope supporting laryngoscope, it is the traditional surgical approaches used till today, the supporting laryngoscope used in operation comprises laryngoscope and laryngeal forceps, wherein laryngoscope is the straight tube chamber connected by handle and handle right angle, the upper end of handle is connected with supporting bracket, the centre in straight tube chamber is cavity, steel direct laryngoscope in the middle of the front end in straight tube chamber, and laryngeal forceps is by clamp handle, the caliper be connected with clamp handle and the pincers scissors being placed in caliper front end form, during operation, patient need lie low, and shoulder pad on rear back mat, make mouth, pharynx, throat on the same line, throat could be inserted in the front end in straight tube chamber, then, select the laryngeal forceps with suitable pincers scissors as required, the caliper of laryngeal forceps is traversed to the front end in straight tube chamber from the rear end in straight tube chamber, open surgery is carried out to the vocal cords that fixed position also exposes, its shortcoming is that laryngoscope is without amplification, be difficult to pick out extent of disease to the polyp of vocal cord of more complicated, easy excision is too much, damage musculus vocalis and cause postoperative glottic insufficiency, increase the weight of hoarseness symptom, or extract not thorough, basilar part is remained, easy recurrence, therefore, at present, all adding in supporting laryngoscope has used operating microscope to operate, microscope position makes its camera lens by the cavity direct-view affected part in straight tube chamber, therefore, the expense of operating theater instruments then increases greatly, simultaneously, because the operation that microscope requires is far away, and be limited to the size of the straight tube chamber cavity of laryngoscope, in addition, the laryngeal forceps of operation occupies again the segment space in cavity, therefore, namely operation exposes still not ideal enough, and, complete glottis exposure is obtained for asking with it at some patients, operator is everlasting and inserts as far as possible and tighten the bracing frame of supporting laryngoscope when placing supporting laryngoscope, make to expose and maximize, but often corresponding crush injury is produced to throat, make vocal chord tension become large simultaneously, and the vocal cords edge tension of Patients with Vocal Cord Polyp excessive time and be unfavorable for operation.In addition, there is neck tubbiness in some patients, the change of curvature appears in the curling lodging of epiglottis, cervical vertebra, hyperosteogeny cannot cross face upward, denture prolapse, the more high situation of larynx body, cause supporting laryngoscope to insert and namely expose glottis difficulty, thus root can not complete operating time can not extend.Simultaneously, due to straight tube laryngoscope in use, require mouth, pharynx, larynx sight alignment, therefore, the deficiency of this structure: is that the compressing in straight tube chamber all can to the palatine arches of patient, and tonsil, front tooth and the root of the tongue produce dampens, serious meeting causes bleeding, infect, odontoseisis comes off, lingual nerve injury, thus occurring in mouth numb after surgery, the tongue sense of taste disappears and feels to go down, the complication such as tongue moving obstacle; Two is because length in cavum laryngis has polyp, and after straight tube chamber is inserted, strutted by trunnion wall muscle in thick straight tube chamber, easily excision too much, damages musculus vocalis and cause postoperative glottic insufficiency, increasing the weight of hoarseness symptom.
In order to solve the problems of the technologies described above, CN201310194236 discloses a kind of curved support laryngoscope instrument, and its straight tube chamber is curved, although solve first technical problem, but in the process inserting trachea, insert because laryngoscope and laryngeal forceps are cut by needs simultaneously, cause the diameter of the front end of this operating theater instruments large, be unfavorable for quick insertion and extend operating time, and, during insertion, can damage trunnion wall muscle, patient brings secondary injury.
Summary of the invention
The object of the invention is to solve above-mentioned the deficiencies in the prior art, a kind of novel structure be provided, easy to operate, operating time is short, post-operative complication is few, patient suffering is little, operation on larynx apparatus that operation technique accuracy is high.
The technical solution adopted for the present invention to solve the technical problems is:
A kind of operation on larynx apparatus, comprise laryngoscope handle and larynx sleeve pipe, described laryngoscope handle intersects with larynx sleeve pipe and is fixedly connected with, it is characterized in that larynx sleeve pipe is rounded or oval, be provided with pincers in described larynx sleeve pipe and cut insertion passage and detecting head, described pincers are cut insertion channel side wall and are provided with telescopic mouth vertically, be beneficial to the diameter reducing laryngoscope, laryngoscope is not only facilitated to be rapidly inserted in patient airway, reduce laryngoscope and during insertion contusion is produced to tracheal wall, simultaneously, also significantly expand surgical field of view, after laryngoscope is inserted into assigned address, described arc shaped pincers being cut the movable pincers that are inserted into cuts in insertion passage again, pathological tissues is sheared.
The width of telescopic mouth under open configuration that insertion passage cut by pincers of the present invention is 1/3 of the radial girth of larynx sleeve pipe, to make the reduced 1/3 of larynx sleeve pipe when inserting, reduce the contusion to trachea soft tissue, simultaneously, also help laryngeal forceps cut pincers cut insert channel axis in traveling process, avoid causing frictionally damage to tracheal wall.
The present invention can cut to insert on the corresponding inwall of the telescopic mouth of passage at described pincers and be interval with side detecting head vertically, be beneficial to after distraction forcep cuts the telescopic mouth inserting passage, by side detecting head, omnibearing pathological changes detection and operation are carried out to tracheal wall, avoid laryngoscope and repeatedly intert at tracheal strips and frictionally damage is caused to the soft tissue of inner surface of trachea.
Larynx sleeve pipe of the present invention forms by stainless steel sleeve pipeline section with the flexible boot pipeline section that stainless steel sleeve pipeline section is fixedly communicated with, described stainless steel sleeve pipeline section rear end to intersect with laryngoscope handle through universal joint and is fixedly connected with, be beneficial to other diseased soft tissue being looked for inner surface of trachea by rotating in a circumferential direction in operation process, reach the effect that operation technique degree of accuracy is high.
The present invention can be provided with self-retaining laryngoscope support in described laryngoscope handle upper end, described self-retaining laryngoscope support comprises support frame, fastening bolt, clamp nut, support slipper, display screen and rechargeable battery body, described support frame is vertically formed by fixedly connecting by the pole at crossbeam and crossbeam two ends, described pole lower end is provided with U-shaped slot, described U-shaped slot is plugged with fastening bolt, described fastening bolt is provided with clamp nut, described support slipper upper end and crossbeam are slidably connected, lower end is fixedly connected with display screen, described rechargeable battery body upper end is fixedly connected with display screen, lower end is fixedly connected with laryngoscope intubation through universal joint, described laryngoscope intubation sidewall is provided with puller bolt, rechargeable battery and control circuit is provided with in described rechargeable battery body, described rechargeable battery body is provided with display screen, described rechargeable battery is connected with control circuit respectively with display screen, be beneficial to be plugged by the signal interface of control circuit and laryngoscope, the image that laryngoscope is detected is by showing on a display screen after the conversion of control circuit, reach facilitating operation, expand the effect of surgical field of view.
The present invention, owing to adopting said structure, has novel structure, easy to operate, operating time is short, post-operative complication is few, patient suffering is little, operation technique accuracy advantages of higher.
Accompanying drawing explanation
Fig. 1 is structural representation of the present invention.
Fig. 2 is the sectional view of larynx sleeve pipe in the present invention.
Fig. 3 is the crosscut profile (telescopic mouth open configuration) of larynx sleeve pipe in the present invention.
Fig. 4 is the crosscut profile (telescopic mouth closure state) of larynx sleeve pipe in the present invention.
Reference numeral: laryngoscope handle 1, larynx sleeve pipe 2, pincers are cut and inserted passage 3, detecting head 4, telescopic mouth 5, side detecting head 6, stainless steel sleeve pipeline section 7, flexible boot pipeline section 8, support frame 9, fastening bolt 10, clamp nut 11, support slipper 12, display screen 13, rechargeable battery body 14, U-shaped slot 16.
Detailed description of the invention:
Below in conjunction with accompanying drawing, the present invention is further described:
As shown in drawings, a kind of operation on larynx apparatus, comprise laryngoscope handle 1 and larynx sleeve pipe 2, it is characterized in that larynx sleeve pipe 2 is rounded or oval, be provided with pincers in described larynx sleeve pipe 2 and cut insertion passage and detecting head, described pincers are cut insertion channel side wall and are provided with telescopic mouth 5 vertically, be beneficial to the diameter reducing laryngoscope, laryngoscope is not only facilitated to be rapidly inserted in patient airway, reduce laryngoscope and during insertion contusion is produced to tracheal wall, simultaneously, also significantly expand surgical field of view, after laryngoscope is inserted into assigned address, described arc shaped pincers being cut the movable pincers that are inserted into cuts in insertion passage again, pathological tissues is sheared.
The width of telescopic mouth 5 under open configuration inserting passage 3 cut by pincers of the present invention is 1/3 of the radial girth of larynx sleeve pipe 2, to make the reduced 1/3 of larynx sleeve pipe 2 when inserting, greatly accelerate the insertion speed of larynx sleeve pipe, reduce the contusion to trachea soft tissue, simultaneously, also help laryngeal forceps cut pincers cut insert channel axis in traveling process, avoid causing frictionally damage to tracheal wall.
The present invention can cut to insert on the corresponding inwall of the telescopic mouth 5 of passage 3 at described pincers and be interval with side detecting head 6 vertically, be beneficial to after distraction forcep cuts the telescopic mouth inserting passage, carry out omnibearing pathological changes detection and operation by side detecting head 6 pairs of tracheal walls, avoid laryngoscope and repeatedly intert at tracheal strips and frictionally damage is caused to the soft tissue of inner surface of trachea.
Larynx sleeve pipe 2 of the present invention forms by stainless steel sleeve pipeline section 7 with the flexible boot pipeline section 8 that stainless steel sleeve pipeline section 7 is fixedly communicated with, described stainless steel sleeve pipeline section 7 rear end to intersect with laryngoscope handle 1 through universal joint and is fixedly connected with, be beneficial to other diseased soft tissue being looked for inner surface of trachea by rotating in a circumferential direction in operation process, reach the effect that operation technique degree of accuracy is high.
The present invention can be provided with self-retaining laryngoscope support in described laryngoscope handle upper end, described self-retaining laryngoscope support comprises support frame 9, fastening bolt 10, clamp nut 11, support slipper 12, display screen 13 and rechargeable battery body 14, described support frame 9 is vertically formed by fixedly connecting by the pole at crossbeam and crossbeam two ends, described pole lower end is provided with U-shaped slot 16, described U-shaped slot 16 is plugged with fastening bolt 10, described fastening bolt 10 is provided with clamp nut 11, described support slipper 12 upper end and crossbeam are slidably connected, lower end is fixedly connected with display screen 13, described rechargeable battery body 14 upper end is fixedly connected with display screen 13, lower end is fixedly connected with laryngoscope handle, described rechargeable battery body lower end is connected with laryngoscope handle through axial rotating device, described larynx sleeve pipe is fixedly connected with laryngoscope handle through puller bolt, rechargeable battery and control circuit is provided with in described rechargeable battery body, described rechargeable battery body is provided with display screen, described rechargeable battery is connected with control circuit respectively with display screen, be beneficial to be plugged by the signal interface of control circuit and laryngoscope, the image that laryngoscope is detected is by showing on a display screen after the conversion of control circuit, reach facilitating operation, expand the effect of surgical field of view.
The present invention is when clinical manipulation, the optional dorsal position of patient, support frame two ends are fixing in bed or on chair through U-shaped slot and fastening bolt respectively, laryngoscope is made to be suspended in the top of patient, avoid in operation process because fixing the impact that laryngoscope position is caused patient, in operation process, hand-held laryngoscope handle 1, and adjusted the direction of insertion of larynx sleeve pipe 2 by universal joint after, doctor more hand-held larynx sleeve pipe 2 is inserted into patient's mouth, in the process inserted, the situation of patient's trachea wall is controlled in real time by display screen, and make laryngoscope and along oral cavity simultaneously, pharynx is inserted into the pathological tissues place of trachea, because larynx sleeve pipe 2 is when inserting, diameter is little, can not damage the soft tissue of tracheal wall, and insertion speed is fast, operating time is short, after insertion puts in place, doctor again laryngeal forceps is cut along pincers cut insert passage 3 insert, by the guide of detecting head 4, laryngeal forceps is cut and is wiped out by pathological tissues large for trachea depths, due in the insertion process of larynx sleeve pipe 2 front end, telescopic mouth 5 is softened, expand endotracheal surgical field of view further, and carry out careful searching by the pathological tissues of side detecting head 6 to operation tracheal wall within the vision, when discovery pathological tissues is, laryngeal forceps can be operated cut and wipe out at contraction mouth place, because larynx trachea front portion adopts flexible boot pipeline section, larynx trachea can be rotated easily, to detect other pathological tissues of tracheal wall, when operation is complete, doctor extracts pincers and cuts, again larynx sleeve pipe is extracted, greatly reduce the misery of patient.
The present invention is owing to adopting said structure, not only can adjust the insertion angle of laryngoscope as required, and, also by telescopic mouth, significantly increase surgical field of view, focus is thoroughly wiped out, there is novel structure, easy to operate, operating time is short, post-operative complication is few, patient suffering is little, operation technique accuracy advantages of higher.
Claims (5)
1. an operation on larynx apparatus, comprises laryngoscope handle and larynx sleeve pipe, it is characterized in that described larynx sleeve pipe is rounded or oval, is provided with pincers and cuts insertion passage and detecting head in described larynx sleeve pipe, and described pincers are cut insertion channel side wall and are provided with telescopic mouth vertically.
2. a kind of operation on larynx apparatus according to claim 1, is characterized in that described pincers cut insert that the width of telescopic mouth under open configuration of passage is the radial girth of larynx sleeve pipe 1/3.
3. a kind of operation on larynx apparatus according to claim 1, is characterized in that described pincers are cut the inwall inserting the telescopic mouth of passage corresponding and are interval with side detecting head vertically.
4. a kind of operation on larynx apparatus according to claim 1, it is characterized in that described larynx sleeve pipe forms by stainless steel sleeve pipeline section with the flexible boot pipeline section that stainless steel sleeve pipeline section is fixedly communicated with, described stainless steel sleeve pipeline section rear end to intersect with laryngoscope handle through the device that rotates in a circumferential direction and is fixedly connected with.
5. a kind of operation on larynx apparatus according to claim 1, it is characterized in that described laryngoscope handle upper end is provided with self-retaining laryngoscope support, described self-retaining laryngoscope support comprises support frame, fastening bolt, clamp nut, support slipper, display screen, rechargeable battery body and puller bolt, described support frame is vertically formed by fixedly connecting by the pole at crossbeam and crossbeam two ends, described pole lower end is provided with U-shaped slot, described U-shaped slot is plugged with fastening bolt, described fastening bolt is provided with clamp nut, described support slipper upper end and crossbeam are slidably connected, lower end is fixedly connected with display screen, described rechargeable battery body upper end is fixedly connected with display screen, lower end is fixedly connected with laryngoscope intubation through universal joint, described laryngoscope intubation sidewall is provided with puller bolt, rechargeable battery and control circuit is provided with in described rechargeable battery body, described rechargeable battery body is provided with display screen, described rechargeable battery is connected with control circuit respectively with display screen.
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201510729384.5A CN105147234B (en) | 2015-11-02 | 2015-11-02 | Laryngeal surgical instrument |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201510729384.5A CN105147234B (en) | 2015-11-02 | 2015-11-02 | Laryngeal surgical instrument |
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| Publication Number | Publication Date |
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| CN105147234A true CN105147234A (en) | 2015-12-16 |
| CN105147234B CN105147234B (en) | 2017-01-11 |
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| Application Number | Title | Priority Date | Filing Date |
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| CN201510729384.5A Active CN105147234B (en) | 2015-11-02 | 2015-11-02 | Laryngeal surgical instrument |
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| CN (1) | CN105147234B (en) |
Cited By (3)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN107280629A (en) * | 2017-07-26 | 2017-10-24 | 上海市浦东医院 | A kind of extension type anaesthetic laryngoscope |
| CN108158632A (en) * | 2018-03-02 | 2018-06-15 | 云南省第二人民医院 | A kind of novel rotation haustorium |
| CN109199393A (en) * | 2018-09-13 | 2019-01-15 | 山东省文登整骨医院 | Nose facial swelling survey meter |
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| CN202505431U (en) * | 2012-04-01 | 2012-10-31 | 烟台毓璜顶医院 | Vocal cord polyp appliance used with fiber optic laryngoscope in matched manner |
| WO2012152689A1 (en) * | 2011-05-06 | 2012-11-15 | Vilmos Nagy | Expandable introducer sheath and introduction system |
| CN104107025A (en) * | 2013-04-19 | 2014-10-22 | 亨克-萨斯,沃尔夫有限公司 | Endoscope With A Rigid Bent Shaft And Method For Manufacturing Such An Endoscope |
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2015
- 2015-11-02 CN CN201510729384.5A patent/CN105147234B/en active Active
Patent Citations (10)
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| US5217001A (en) * | 1991-12-09 | 1993-06-08 | Nakao Naomi L | Endoscope sheath and related method |
| US5645519A (en) * | 1994-03-18 | 1997-07-08 | Jai S. Lee | Endoscopic instrument for controlled introduction of tubular members in the body and methods therefor |
| CN2307537Y (en) * | 1997-06-09 | 1999-02-17 | 吴志祥 | Rectum and sigmoid intracavity surgical operation microscope |
| CN101026989A (en) * | 2004-05-25 | 2007-08-29 | 创新妇产科医学解决方案公司 | Speculum |
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| CN101947099A (en) * | 2010-09-17 | 2011-01-19 | 杨柳青 | Integrated confocal microscopic rigid laryngoscope system |
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| CN202505431U (en) * | 2012-04-01 | 2012-10-31 | 烟台毓璜顶医院 | Vocal cord polyp appliance used with fiber optic laryngoscope in matched manner |
| CN104107025A (en) * | 2013-04-19 | 2014-10-22 | 亨克-萨斯,沃尔夫有限公司 | Endoscope With A Rigid Bent Shaft And Method For Manufacturing Such An Endoscope |
Cited By (4)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN107280629A (en) * | 2017-07-26 | 2017-10-24 | 上海市浦东医院 | A kind of extension type anaesthetic laryngoscope |
| CN108158632A (en) * | 2018-03-02 | 2018-06-15 | 云南省第二人民医院 | A kind of novel rotation haustorium |
| CN109199393A (en) * | 2018-09-13 | 2019-01-15 | 山东省文登整骨医院 | Nose facial swelling survey meter |
| CN109199393B (en) * | 2018-09-13 | 2024-04-02 | 山东省文登整骨医院 | Detector for turgescence of nose and face |
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| Publication number | Publication date |
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| CN105147234B (en) | 2017-01-11 |
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Effective date of registration: 20160926 Address after: 264400 Weihai, Shandong, Feng Shan Road, Wendeng District No. 1 Applicant after: Wendeng Drthopedics Hospital, Shandong Prov. Address before: 264400 Weihai, Shandong, Feng Shan Road, Wendeng District No. 1 Applicant before: Wang Wenyi |
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